Supplies, drugs & other prices at Knox Community Hospital

Mount Vernon, OH · every code in this section with a posted price and a Medicare benchmark.

63 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924)
range across 2 matching MRF lines
$197.80–$2,175.78 $247.25–$2,719.73 varies
Adm tocilizu covid-19 1st (M0249) $966.37 $1,207.96 2.2×
Adm tocilizu covid-19 2nd (M0250) $881.82 $1,102.27 2.1×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$25.71–$44.91 $32.14–$56.14 varies
Admin influenza virus vac (G0008)
range across 4 matching MRF lines
$4–$49.32 $5–$61.65 varies
Admin pneumococcal vaccine (G0009)
range across 4 matching MRF lines
$12–$49.32 $15–$61.65 varies
Alcohol/subs interv 15-30mn (G0396)
range across 3 matching MRF lines
$27.91–$61.50 $34.89–$76.87 varies
Alcohol/subs interv >30 min (G0397)
range across 3 matching MRF lines
$67.55–$209.66 $84.44–$262.08 varies
Ca screen;flexi sigmoidscope (G0104) $114.06 $142.58 0.1×
Ca screen;pelvic/breast exam (G0101)
range across 3 matching MRF lines
$28.68–$101.75 $35.85–$127.19 varies
Care manage beh svs 20mins (G0323) $45.76 $57.20 1.3×
Catheterize for urine spec (P9612)
range across 2 matching MRF lines
$166.19–$207.74 $207.74–$259.68 varies
Chemo extend iv infus w/pump (G0498) $1,184.25 $1,480.31 3.7×
Colon ca scrn not hi rsk ind (G0121) $381.62 $477.03 0.4×
Colorectal scrn; hi risk ind (G0105) $380.90 $476.13 0.4×
Covid-19 lab test non-cdc (U0002) $107.19 $133.99 2.1×
Cysto impl 4 or more (C9740)
likely a partial charge, not the full procedure
$743.14 $928.93 0.1×
Cystoscopy prostatic imp 1-3 (C9739)
likely a partial charge, not the full procedure
$408.54 $510.68 0.1×
Demonstrate use home inr mon (G0248) $269.22 $336.53 2.1×
Depression screen annual (G0444)
range across 3 matching MRF lines
$9.86–$36.10 $12.32–$45.12 varies
Diab manage trn per indiv (G0108) $76.82 $96.03 1.4×
Diab manage trn ind/group (G0109) $58.20 $72.75 3.6×
Direct refer hospital observ (G0379) $1,069.48 $1,336.85 1.8×
Elec stim other than wound (G0283)
range across 2 matching MRF lines
$49.62–$62.74 $62.02–$78.42 varies
Extrnl counterpulse, per tx (G0166) $278.40 $348 2.1×
Group mnt 2 or more 30 mins (G0271) $44.80 $56 2.6×
Hbot, full body chamber, 30m (G0277) $838.83 $1,048.54 6.3×
Home sleep test/type 3 porta (G0399)
range across 2 matching MRF lines
$70.59–$423.07 $88.24–$528.84 varies
Hospital outpt clinic visit (G0463)
range across 49 matching MRF lines
$41.60–$434.40 $52–$543 varies
Initial preventive exam (G0402)
range across 3 matching MRF lines
$110.87–$242.52 $138.59–$303.15 varies
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$3,408.03–$5,112.05 $4,260.04–$6,390.06 varies
Mnt subs tx for change dx (G0270) $48 $60 1.5×
Mra w/o fol w/cont, pelvis (C8920) $1,817.39 $2,271.74 5.3×
Mra, w/o&w/dye, spinal canal (C8933) $1,817.39 $2,271.74 5.3×
Mra, w/o&w/dye, upper extr (C8936) $1,817.39 $2,271.74 5.3×
Obtaining screen pap smear (Q0091)
range across 3 matching MRF lines
$13.13–$33.63 $16.41–$42.04 varies
Oth resp proc, group (G0239) $375.17 $468.96 10.3×
Perc d-e cor revasc chro sin (C9607) $16,461.07 $20,576.34 0.9×
Perc d-e cor revasc t cabg s (C9604) $16,743.78 $20,929.72 1.5×
Perc drug-el cor stent sing (C9600) $17,759.31 $22,199.14 1.6×
Ppps, initial visit (G0438) $337.06 $421.33 1.9×
Ppps, subseq visit (G0439) $228.14 $285.18 1.7×
Psa screening (G0103)
range across 2 matching MRF lines
$50.40–$116.86 $63–$146.08 varies
Revasc intra lithotrip-ather (C9766)
likely a partial charge, not the full procedure
$3,280.46 $4,100.58 0.2×
Revasc intra lithotrip-stent (C9765)
range across 2 matching MRF lines
$1,312.17–$37,724.60 $1,640.21–$47,155.75 varies
Revasc intravasc lithotripsy (C9764) $20,516 $25,645 1.8×
Revasc lith-sten-ath tib/per (C9775) $32,128 $40,160 1.8×
Revasc lithotr-ather tib/per (C9774) $32,128 $40,160 1.8×
Revasc lithotr-stent tib/per (C9773)
range across 2 matching MRF lines
$3,212.80–$32,128 $4,016–$40,160 varies
Revasc lithotrip tibi/perone (C9772)
range across 2 matching MRF lines
$2,008.60–$20,086 $2,510.75–$25,107.50 varies
Revasc lithotrip-stent-ather (C9767)
range across 2 matching MRF lines
$3,280.46–$37,725.30 $4,100.58–$47,156.62 varies
Tomosynthesis, mammo (G0279) $71.02 $88.77 5.6×
Trim nail(s) (G0127)
range across 3 matching MRF lines
$8.12–$66.26 $10.15–$82.82 varies
Trluml perip athrc abd aorta (0236T) $14,560.05 $18,200.06 1.3×
Trluml Perip Athrc Brchiocph (0237T) $16,744.06 $20,930.07 1.5×
Trluml Perip Athrc Iliac Art (0238T) $31,630.98 $39,538.72 1.8×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $14,560.05 $18,200.06 1.3×
Tte w or w/o contr, cont ecg (C8930) $1,837.10 $2,296.38 2.4×
Tte w or w/o fol w/con,stres (C8928) $1,553.46 $1,941.82 2.0×
Tte w or wo fol wcon,doppler (C8929)
range across 2 matching MRF lines
$233.98–$2,573.83 $292.48–$3,217.29 varies
Unsched dialysis esrd pt hos (G0257)
range across 2 matching MRF lines
$1,677.03–$1,843.82 $2,096.29–$2,304.78 varies
Visit to determ ldct elig (G0296)
range across 3 matching MRF lines
$27.08–$104.94 $33.85–$131.18 varies
Wet mounts/ w preparations (Q0111) $43.70 $54.62 2.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.